Antwi, Johnson
Antwi, Johnson is an sole proprietor health care provider with primary practice located at 216 Stewart Pkwy , Washington NC 27889-4972. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Antwi, Johnson can be contacted via phone (252) 946-0585.Contact Information
Primary practice address
216 Stewart Pkwy
Washington NC 27889-4972
Phone: (252) 946-0585
Fax: (252) 946-0580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P015782 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-2605 | North Carolina |
Profile Details
| NPI number | 1639376783 |
|---|---|
| LBN Legal business name | Antwi, Johnson |
| Credentials | LCAS-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | May 27th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639376783 | NPPES |
| North Carolina | MEDICAID | 6005782 |
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